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1972854610
ELYSE JOHNSON
BRANDON, FL
NPI
1972854610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SZ5989)
Enumeration Date
2012-09-20
Last Update Date
2012-10-24
Business Address
-- ELYSE JOHNSON
602 VONDERBURG DR SUITE 201
BRANDON, FL 33511-5900
Phone number: 813-653-1149
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Mailing Address
-- ELYSE JOHNSON
602 VONDERBURG DR SUITE 201
BRANDON, FL 33511-5900
Phone number: 813-653-1149
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